Why Select Us? table of

contents

Why Select Us?...... 2

Manage Your Plan With My Health...... 3

Wellness resources...... 4

SelectHealth Prescriptions®...... 5

Facility Map...... 6

Clinic Map...... 7

Traveling...... 8 Why Select Us?

At SelectHealth, we know you have options when choosing a health insurance partner. Here are some of the reasons why we think we’re your best choice.

Exceptional Service Integrated with ® Member satisfaction is one of our top priorities—we are here to help our members with everything from explaining As a subsidiary of Intermountain Healthcare, their benefits to finding the right doctor. SelectHealth is part of one of the nation’s top-ranked Member Services integrated health systems (Modern Healthcare magazine, January 2012). Intermountain’s nonprofit system includes Representatives are available during extended hours to physicians, clinics, and 22 hospitals, as well as insurance answer questions and help resolve concerns. To contact plans from SelectHealth. Member Services, call 800-538-5038 weekdays, from 7:00 a.m. to 8:00 p.m., and Saturdays, from 9:00 a.m. to 2:00 p.m. TTY/TDD users should call 711. SelectHealth Member Advocates® Our Member Advocates help our members find the right doctor for their needs. They can assist with the following:

• Appointment scheduling, including urgent conditions • Finding the closest facility or doctor with the nearest available appointment To contact Member Advocates, call 800-515-2220 weekdays, from 7:00 a.m. to 8:00 p.m. and Saturdays, from 9:00 a.m. to 2:00 p.m. To access the online provider directory, visit selecthealth.org/providers. Behavioral Health AdvocatesSM Representatives help our members find the most appropriate mental health provider for their needs. To contact Behavioral Health Advocates, call 800-876-1989 weekdays, from 8:00 a.m. to 6:00 p.m.

awards and recognition SelectHealth is consistently rated as ’s top HMO plan by state and national organizations, receiving top scores in both member satisfaction and clinical performance. SelectHealth is also accredited by NCQA (National Committee for Quality Assurance). Results show that NCQA-accredited plans outperform nonaccredited plans in all measures of clinical care and member satisfaction. For more awards and details, visit selecthealth.org/awards and NCQA.org.

2 Manage Your Plan With

My health, our secure member website, provides important health and benefit information 24 hours a day, seven days a week.

access Medical records live Well Our integration with Intermountain Healthcare® gives The LiVe Well tools on My Health help our members our members access to their medical records* through achieve their goals by giving them access to Intermountain My Health. They can view lab results, medications, Healthcare resources outlined below. and imaging reports. They may also track your doctor’s FaMily health appointments and e-mail questions to providers who The Family Health tool can members understand the participate in this program. diseases that run in their family.

Manage yoUr selecthealth health resoUrces Plan These tools help members manage their health, learn about coverage and claiMs symptoms and conditions, and discover treatment options. This is where our members can view their plan information, claim details, Explanations of Benefi ts (EOBs), and sign up for paperless EOBs. PharMacy tools to register for Members can access their pharmacy benefi t information, claims, prescription history, and lower-cost drug alternative My Health, visit information. send secUre Messages selecthealth.org and Members can send secure messages to SelectHealth Member Services or your doctor*. This is a confi dential click on “register.” and convenient way to get questions answered.

*May not be available with all providers and facilities.

3 Wellness Resources

we want our members to live well, so we provide a number of resources to supplement plan benefits. From discounts to disease management, the SelectHealth Wellness program is designed to help our members maintain and enjoy a healthy, happy lifestyle.

Smoking Cessation One of the most significant things a person can do to improve overall health is to quit smoking. We offer a free program called Quit for Life® that allows participants to progress at their own pace from home. For more information, call 801-442-6759.

Preventive care Regular preventive care exams can help maintain optimal health and detect and treat concerns early. We provide information, schedules, and reminder calls and mailings to help our members seek the appropriate examinations, immunizations, and tests.

work site programs Our comprehensive weight management and physical activity programs can help members incorporate health awareness into their daily work routine. Contact your employer for details. Ongoing Support Our registered nurse care managers offer one-on-one Member Discounts support and help coordinate our members’ care. We Our members enjoy discounts on products and services provide educational materials, newsletters, and from participating fitness centers, vision centers, LASIK follow-up phone calls. For more information, call clinics, spas, and more. Care Management at 800-442-5305. These benefits and services may not be available to all employers SelectHealth or regions. Healthy Beginnings® Our prenatal program provides support and resources for expectant mothers. In addition to pregnancy education materials, the program includes a risk assessment screening and provides high-risk case management when needed. For more information, call Healthy Beginnings at 866-442-5052.

4 SelectHealth Prescriptions

Our Pharmacy benefit program, SelectHealth Prescriptions, makes filling prescriptions easy. We have more than 36,000 participating pharmacies nationwide, and our members can view their pharmacy records online.

tiered benefits The SelectHealth Prescriptions benefit has three or four tiers (levels) of coverage. Drugs on lower tiers will cost members less without compromising quality.

RETAIL90® Maintenance medications are drugs that members have been using for at least one month and expect to continue using for the next year. With Retail90, members can pick up a 90-day supply of maintenance medications at their convenience using a local pharmacy.

Mail Order Our members have the option to fill a prescriptions through the mail using Express Scripts®. Express Scripts allows members to order and pay for refills online using a credit card. They can also send e-mail reminders when it is time to refill a prescription.

GenericSample® GenericSample is a great way to try a generic drug at no Online Pharmacy Tools cost to you. This program eliminates your copay/ Our online tools will help save money and manage coinsurance for the first 30-day fill of select generic prescription drugs. My Health allows members to access the prescriptions. GenericSample is only available through following information: participating retail pharmacies. • Pharmacy claims history GenericSample is not available on High Deductible Health Plans (HDHPs) • The tier status of prescription drugs or under the 90-day maintenance drug benefit. • Copay and benefit information Deductibles • Drug lookup • Drug prices and lower-cost alternatives Some plans have a deductible that must be met prior to • Potential drug interactions medications being covered by SelectHealth. Most plans have • Pharmacy lookup a deductible waiver on Tier 1 medications. See your member materials or call Member Services for details. Not all plans have pharmacy benefits with SelectHealth.

5 MCHV MCHV MCHV (M-Cancer treatment only) treatment (M-Cancer MCH MCH MCH CH MCH MCHV MCHV MCH MCH MCH MCHV MCH San Juan Hospital MCH MCH MCH MCH Blue Mountain Hospital

MCH salt lake area salt lake Hospital* Huntsman Cancer Center* Medical Intermountain Hospital* LDS Medical Center* Primary Children’s Select Care and Select Choice only and Select Choice Select Care Riverton Hospital* Riverton Specialty Hospital * Orthopedic TOSH—The of Utah Hospital University only and Select Choice Select Care of Utah Orthopaedic Center University MCH MCH Moab Regional Hospital Hospital Moab Regional Ashley Valley Med. Center Med. Center Valley Ashley Park City Med. Center* Center* Med. City Park CH MCH CH Heber Valley Med. Center* Med. Center* Heber Valley * Valley Sanpete MCH Uintah Basin Med. Center Uintah Basin Med. Center MCH MCH CH Gunnison Valley Hospital Gunnison Valley Central Valley Med. Center Med. Center Valley Central CH MCH Kane County Hospital County Kane MCHV

MCHV MCHV Sevier Valley Med. Center* Med. Center* Valley Sevier CH MCHV MCH MCH Fillmore Community Med. Center* Med. Center* Community Fillmore have access to Intermountain Healthcare’s nationally nationally Healthcare’s to Intermountain access have Garfi eld Memorial Hospital* Garfi MCH CH Delta Community Med. Center* Center* Med. Delta Community Beaver Valley Hospital Valley Beaver Caribou Memorial Hospital Caribou Memorial Hospital ParticiPating hosPitals and clinics and hosPitals ParticiPating Bear Lake Memorial Hospital Bear Lake * Regional Logan Milford Valley Memorial Hospital Valley Milford Portneuf Med. Center Med. Center Portneuf Valley View Med. Center* Med. Center* View Valley Franklin County Med. Center Med. Center County Franklin * American Fork Dixie Regional Med. Center* Med. Center* Dixie Regional Campuses) Rd. (400 E. & River Oneida County Hospital Oneida County Orem Community Hospital* Hospital* Community Orem SM SM SM SM Bear River Valley Hospital* Valley Bear River McKay-Dee Hospital Center* Hospital Center* McKay-Dee Regional Med. Center* Med. Center* Regional Utah Valley Davis Hospital & Med. Center & Med. Center Hospital Davis Mountain West Med. Center Med. Center Mountain West Cassia Regional Med. Center* Med. Center* Regional Cassia C—Select Care C—Select H—Select Choice Value V—Select Plans M—Select Med selecthealth MeMbers selecthealth recognized facilities, contracted hospitals, and clinics. All of the facilities meet facilities meet All of the and clinics. hospitals, facilities, contracted recognized standards. our high-quality *Intermountain-Owned Facility *Intermountain-Owned

Facility Map 6 Clinic Map

SelectHealth members have access to urgent care clinics owned by Intermountain Healthcare (shown on this map), as well as other participating clinics statewide.

Intermountain Instacare® and KidsCareSM clinics

InstaCare

Logan

South Ogden North Ogden InstaCare & KidsCare Roy (Herefordshire) Syracuse KidsCare Layton Ogden (Northern Utah) Bountiful Sugar House (Memorial) Murray Holladay Tooele Taylorsville Sandy West Jordan Sandy (Mountain View) Riverton (Southridge) Saratoga Springs Highland North Orem Provo Springville

Cedar City

Hurricane

St. George (Sunset) St. George (River Road)

To help members make informed choices about healthcare providers and clinics, our website provides information about participating providers, clinic quality scores, and patient satisfaction ratings. Visit selecthealth.org/providers.

7 Traveling

When traveling, peace of mind is priceless. It’s important to know you are covered and where to go if you need medical care.

Outside of the state As a SelectHealth member, if you have an emergency or need urgent care outside of Utah, participating benefits apply to services you receive in a doctor’s office, urgent care facility, or emergency room. In an effort to reduce medical out-of-pocket expenses for our members while traveling, SelectHealth has an arrangement with the MultiPlan and PHCS networks. They have agreed to accept an allowed amount for covered services, which means our members will not be responsible for excess charges when using these providers. In addition, they will bill SelectHealth directly. To find MultiPlan and PHCS providers or facilities, call MultiPlan at 800-678-7427 or visit multiplan.com.

Outside of the country Participating benefits apply to If one of our members needs urgent or emergency care while traveling outside of the country, they can visit the nearest services received for urgent or doctor or hospital. They may need to pay for the treatment emergency conditions. at the time of service and submit a claim to SelectHealth.

For more information or help finding a provider, call Member Services at 800-538-5038, or visit selecthealth.org.

8 P.O. Box 30192 , UT 84130-0192 801-442-5038 / 800-538-5038 selecthealth.org

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